The article presents a model of good practice implemented within the socio-medical center in Hârja, Bacau County, in the context of an acute need to ensure the psycho-social integration of institutionalized elderly people. This organizational approach could not be possible without the spiritual counseling found in the intervention plan implemented by the pluridisciplinary team consisting of a physician, social worker, psychologist and priest. Any institutionalization of the elderly involves an acute crisis of adaptability to the community's nocturnal way of life, the organization or institution offering a new life climate, another community, quite alien to the elderly with polypathologists, neurotic and worse than death increasing the quality of his life. Following a brief research, we have found that spiritual therapy has beneficial influences on personal attitude towards disease, death and the future, imparting to the beneficiaries a sense of normality and safety during the last stage of their life.